/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/,

/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/name-122126-en.cckm

201711332

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Hospital-wide

IP - Neonatal - Discharge [5259]

IP - Neonatal - Discharge [5259] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - Neonatal - Discharge [5259]
Patient Care Orders
Confirmed Discharge Date/Time [151653]
Confirmed Discharge Date/Time [ADT0013] Confirmed Discharge Date:
Confirmed Discharge Time:
Conditions for Discharge:
Provider to be Present at Discharge?
Reason For Hospitalization [147750]
Why You Were Hospitalized [NURCOM0073] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, Your child was hospitalized for ***.
@CAPHIS@ care included ***.
Activity [147751]
General Positioning [NURACT0011] Routine, ***
Do Not Elevate Head of Bed [NURACT0011] Routine
Back to Sleep [NURACT0011] Routine, Place @FNAME@ on @HIS@ back to sleep.
Car Bed [NURACT0011] Routine, ***
Nutrition [147752]
Diet [NURDIE0013] Routine, Feed *** mLs of {Primary Feeding:22551}
calories/ounce fortied with {Fortified With:22552} every
*** hours.
Tube Feeding [NURDIE0013] Routine, Feed *** mLs of {Primary Feeding:22551}
calories/ounce fortied with {Fortified With:22552} every
*** hours.
Breastfeeding [NURDIE0013] Routine, @FNAME@ may be breastfed every ***
hours.
Respiratory [147768]
Home Oxygen Therapy [NURCOM0022] Routine, Your child should be on nasal cannula at ***
liters per minute of oxygen at all times. If you have any
questions about the oxygen use or the equipment
please contact ***.
Pulse Oximetry Montior [NURCOM0022] Routine, Your child is being sent home on continuous
pulse oximetry monitoring. Your child should have this
monitor on twenty four hours a day. If your child's
oxygen level falls below *** for longer than *** you
should *** and contact ***.
Apnea Montior [NURCOM0022] Routine, Your child is on an Apnea Monitor and should
be on this monitor twenty four hours a day.If your child
has an apnea event lasting longer than 20 seconds
that is not associated with a change in color or heart
rate and from which your child recovers without help,
you should record this event in the log. If your child
has an apnea event that is associated with a change
in color or a slow heart rate, you should start CPR if
necessary and call 911 for help.
Wound Care [147755]
Wound Care [NURWND0015] Routine, ***
Bathing Instructions [NURWND0018] Routine, ***
Line Care [147769]
Line Care [NURCOM0022] Routine, ***
Bladder Care [147756]
Bladder Care [NURELM0067] Routine, ***
Bowel Care [147757]
Bowel Care [NURELM0068] Routine, ***
Page 1 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2017CCKM@uwhealth.org

Ostomy, G/GJ Tube Care [147770]
Ostomy Care [NURCOM0022] Routine, ***
How to care for your child's G/GJ tube
[NURCOM0022]
Routine, Call your doctor if the area is very red, hard,
oozing pus or foul smelling drainage, your child
develops a fever, or there is skin breakdown around
the site.
General Newborn Instructions [147753]
How to Take Your Child's Temperature
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, Please take your child's temparture
with the thermometer in his/her bottom (rectally) or
arm pit (axillary)
Referral Instructions [NURCOM0022] Routine, {REFERRALINSTRUCTIONS:3000799}
Other Discharge Patient Care Instructions
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, Please refer to your education
materials for further information. Take all medications
as directed.
When to Call Your Doctor [147754]
Page 2 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

When to Call Your Primary Care Provider's Office
[NURCOM0079]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan.
You should include specific instructions on when and
who to call.
You should include actual provider names (i.e. not
'PCP').
You should NOT include the discharging unit as a
contact., Routine, Call your doctor's office if your baby:
• Refuses to feed for multiple feedings in a row
• Has diarrhea and vomits more than usual
• Has a cold that does not improve, or that gets worse
• Has a rash
• Has signs of dehydration (decreased number of wet
diapers, does not shed tears when crying, has sunken
eyes, or the soft spot on the top of head has sunken)
• Has ear drainage
• Will not stop crying
Call your doctor's office immediately if your baby:
• Has blood in vomit or stool
• Has difficulty breathing
• Has a seizure
• Has any type of poisoning
• Has bleeding that you cannot stop
• Is not able to move
• Has a rectal temparature of 100.4 degrees Farenheit
or higher
• Has yellow skin or eyes
• Sleeps more than usual or will not wake up
• Is limp
If you are extremely concerned about your baby, call
your doctor and take your baby to the emergency
room.
If you have other general pediatric questions or
concerns about your baby, call your Primary Care
Provider, @PCP@, at @PCPPH@.
Nights and weekends:
For urgent general pediatric needs during evenings
and weekends, call your Primary Care Provider's
office (@PCPPH@) and ask to be connect to their
after hours line.
If you cannot reach a provider, and you have a serious
medical concern, call 911 or bring your child to the
nearest emergency department.
Page 3 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

When to Call Your Doctor - Subspecialties
[NURCOM0079]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan.
You should include specific instructions on when and
who to call.
You should include actual provider names (i.e. not
'PCP').
You should NOT include the discharging unit as a
contact., Routine, Your child received care from a
pediatric subspecialist during the hospitalization. Use
the phone numbers listed below to contact a provider
from the pediatric specialty team.
Monday-Friday 8:00 a.m. to 4:30 p.m.:
{subspecialty phone numbers:3022232}
Evenings and Weekends:
For urgent subspecialist medical needs on evening
and weekends, call 608-263-6400 and ask to be
connected to the appropriate subspecialist on-call.
If you cannot reach a provider, and you have a serious
medical concern, call 911 or bring your child to the
nearest emergency department.
Medications
Medications (Single Response) [147771]
Your Child Does Not Qualify for Synagis
[NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine
Synagis - Younger than 24 months of age and
receives medical therapy for chronic lung disease
[NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient qualifies for Synagis®
because @HE@ is younger than 24 months of age
and receives medical therapy (supplemental
oxygen/bronchodilator/diuretic/chronic corticosteroid
therapy) for chronic lung disease within 6 months
before the start of the RSV season. @CAPHE@
qualifies for a maximum of 5 monthly doses during the
RSV season.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Synagis - Born at or before 28 weeks 6 days of
gestation [NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient qualifies for Synagis®
because @HE@ was born before 29 completed
weeks of gestation (at or before 28 weeks 6 days of
gestation). @CAPHE@ qualifies for a maximum of 5
monthly doses during the RSV season. Infants born
at this gestational age may benefit from prophylaxis
with palivizumab during the RSV season that occurs
during the first year of life.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Page 4 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

Synagis - Born at 29 weeks 0 days through 31
weeks 6 days of gestation [NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient qualifies for Synagis®
because @HE@ was born at 29 weeks 0 days
through 31 weeks 6 days of gestation and will be
younger than 6 months of chronologic age at the start
of the RSV season on 11/1/@CURRENTYEAR@.
@CAPHE@ qualifies for a maximum of 5 monthly
doses. Once (he/she) qualifies for initiation of
prophylaxis at the start of the RSV season,
administration should continue throughout the season
and should not stop when @HE@ reaches either 6
months or 12 months of age.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Synagis - Born at 32 weeks 0 days through 34
weeks 6 days of gestation [NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient qualifies for Synagis®
because @HE@ was born at 32 weeks 0 days
through 34 weeks 6 days of gestation, will be younger
than 3 months of chronologic age at the start of the
RSV season on 11/1/@CURRENTYEAR@, and (has
one or more older siblings who are younger than 5
years of age who live permanently in the same
household/will attend day care). @CAPHE@ qualifies
for a maximum of 3 monthly doses. @CAPHE@
should receive monthly doses of Synagis® until the
chronologic age of 3 months or until 3 doses have
been administered.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Synagis - Congenital anomaly of the airway/
neuromuscular condition that compromises
handling of respiratory secretions
[NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient qualifies for Synagis®
because @HE@ has (a congenital anomaly of the
airway/a neuromuscular condition that compromises
handling of respiratory secretions). @CAPHE@
qualifies for a maximum of 5 monthly doses during the
RSV season during the first year of life.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Page 5 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

Synagis - Younger than 24 months of chronologic
age and has hemodynamically significant cyanotic
or acyanotic congenital heart disease
[NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient qualifies for Synagis®
because @HE@ is younger than 24 months of
chronologic age and has hemodynamically significant
cyanotic or acyanotic congenital heart disease. This
patient qualifies for 5 monthly doses during the RSV
season that begins on 11/1/@CURRENTYEAR@.
Children younger than 24 months of chronologic age
with congenital heart disease who are most likely to
benefit from immunoprophylaxis with palivizumab
include infants who are receiving medication to control
congestive heart failure, infants with moderate to
severe pulmonary hypertension, and infants with
cyanotic heart disease.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Synagis - Severe combined immune
deficiency/advanced acquired immunodeficiency
syndrome [NURCOM0090]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient qualifies for Synagis®
because @HE@ has (severe combined immune
deficiency/advanced acquired immunodeficiency
syndrome). @CAPHE@ may benefit from 5 monthly
doses during the RSV season that begins on
11/1/@CURRENTYEAR@.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Synagis - Cycstic Fibrosis [NURCOM0090] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, This patient with cystic fibrosis may
benefit from prophylaxis with Synagis®. There is
insufficient data to determine the effectiveness of
palivizumab in this patient population. A
recommendation for routine prophylaxis in patients
with cystic fibrosis cannot be made.
Please make sure to discuss this with your Primary
Care Provider prior to your next visit.
Follow-Up Care
Follow-Up Appointments [147758]
Schedule Appointment [NURCOM0026] Reason for Hospital Follow Up Appointment:
Which Provider:
Schedule Appointment - Home Health
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Home Health
Schedule Appointment - Pediatric Ophthalmology
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Pediatric Ophthalmology
Schedule Appointment - Pediatric Pulmonology
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Pediatric Pulmonology
Page 6 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

Schedule Appointment - Pediatric General
Surgery [NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Pediatric General Surgery
Schedule Appointment - Pediatric GI
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Pediatric GI
Schedule Appointment - Pediatric Cardiology
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Pediatric Cardiology
Schedule Appointment - Pediatric CT Surgery
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Pediatric CT Surgery
Schedule Appointment - Waisman Center
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Waisman Center
Schedule Appointment - Spina Bifida Clinic
[NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Spina Bifida Clinic
Follow Up Appointments - Diabetes (Single Response) [148552]
*** RESPONSE REQUIRED *** This order facilitates documentation (only) about follow-up
appointments for patients with diabetes. Scheduling an appointment before discharge with a
provider who will manage a patient’s diabetes care (e.g., primary care physician, endocrinologist,
etc.) is a Joint Commission requirement. Exclusions are allowed based upon patient situation
(e.g., discharge to a skilled nursing facility, patient refusal, etc.). Only select “Appointment
Scheduled” if an appointment has already been scheduled, and use the Schedule Appointment
order as needed to request assistance in scheduling
No appointment: Patient does not have diabetes
[COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient
does not have diabetes
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is a
Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Page 7 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

Appointment scheduled (with provider who can
manage diabetes) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment scheduled
(with provider who can manage diabetes)
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is a
Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Appointment scheduled per patient report
(ENTER DATE IN COMMENTS) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment scheduled per
patient report (ENTER DATE IN COMMENTS)
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is a
Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Appointment pending: patient discharged on
weekend; follow-up information provided
[COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment pending:
patient discharged on weekend; follow-up information
provided
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is a
Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Page 8 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

Free clinic information provided [COR0064] ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Free clinic information
provided
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is a
Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
No appointment: Patient discharging to a facility
(e.g., skilled nursing facility, correctional facility,
etc.) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient
discharging to a facility (e.g., skilled nursing facility,
correctional facility, etc.)
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is a
Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
No appointment: Patient refusal [COR0064] ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient
refusal
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is a
Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Discharge Labs [147759]
Page 9 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

Please use the table below to determine what type of order to use to place discharge lab
orders.
Discharge Labs Workflow URL: https://uconnect.wisc.edu/growth/training--
education/health-link/10-minutes/inpatient-
discharge-consult/resources/name-82993-en.file
Who is Responsible for the
Result?
Where Will Labs be
Completed?
What Order Should You
Use?
Current Attending Provider UW Health Lab Specific lab orders (A)
Non-UW Health Lab
Specific lab orders with order
class changed to OUTSIDE
(B)
Current Consulting Provider
UW Health Lab
Specific lab orders with
AUTHORIZING PROVIDER
CHANGED TO
CONSULTANT (A)
Non-UW Health Lab
Specific lab orders with order
class changed to OUTSIDE
and AUTHORIZING
PROVIDER CHANGED TO
CONSULTANT (B)
Another Provider
UW Health Lab
Recommended Discharge
Labs (C)
Non-UW Health Lab
Recommended Discharge
Labs (C)
(A) SPECIFIC LAB ORDERS:
These orders should be used if the CURRENT ATTENDING OR CONSULTING PROVIDER
will be responsible for the result of the lab AND the patient will have the labs completed at a
UW HEALTH LAB.
If a CONSULTING PROVIDER currently involved in the patient's care will be responsible for the
result, you must change the AUTHORIZING PROVIDER on the order to the CONSULTING
PROVIDER before signing the order. To do this, click the Providers button near the top of the
Review, Sign & Hold tab of the discharge navigator. Update the authorizing provider to the
consulting provider.
(B) SPECIFIC LAB ORDER WITH ORDER CLASS CHANGED TO OUTSIDE:
These orders should be used if the CURRENT ATTENDING OR CONSULTING PROVIDER
will be responsible for the result of the lab AND the patient will have labs completed at a NON-
UW HEALTH LAB.
If a CONSULTING PROVIDER currently involved in the patient’s care will be responsible for the
result, you must change the AUTHORIZING PROVIDER on the order to the CONSULTING
PROVIDER before signing the order. To do this, click the Providers button near the top of the
Review, Sign & Hold tab of the discharge navigator. Update the authorizing provider to the
consulting provider.
The patient will receive a paper order to take to the lab.
(C) RECOMMENDED DISCHARGE LABS:
This order should be used to recommend to another provider labs that a patient should have
completed after discharge. The provider designated in the 'Send Recommendations To' field is
responsible for PLACING the lab orders AND will be responsible for the RESULTS of any
ordered labs.
Page 10 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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08/2017CCKM@uwhealth.org

Recommended Discharge Labs [NURCOM0075] Details
Page 11 of 11
Printed by STRAKA, KEVIN F [KFS1] at 8/4/2017 1:21:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org